CHRISTUS Health has experienced a 60 percent increase in productivity, averaging 120 accounts closed per day versus 40 with it’s manual process. The company also has eliminated the errors and time needed to download and resave spreadsheets, which has been a huge benefit to the team.
Surprisingly, many healthcare providers still rely on a manual paperwork process for authorization management. Unfortunately, this leads to confusion and miscommunication that isn’t good for patients or providers. It’s time to move from antiquated to automated.
Authorizations is Experian Health's integrated online service that facilitates the prior authorization management inquiry and submission processes. Inquiries are automated and take place behind the scenes without user intervention. The user is guided through the workflow, auto-filling all of the payer data and prompting only if manual intervention is required.
Authorizations taps into our Knowledgebase which stores and dynamically updates national payer prior authorization requirements. Clients can provide local/community rules and updates to be downloaded into the knowledgebase. Authorizations users automatically have access to the most up-to-date prior authorization requirement information in real-time.
Our SmartAgent feature facilitates the pre-certification submission process by signing the user into the appropriate payer website and auto populating the patient demographic information. SmartAgent stops once clinical questions are encountered, allowing the user to complete the clinical requirements
Inquiries and status monitoring take place without user intervention, only prompting users when their involvement is required.
Our pre-authorization knowledgebase stores and dynamically updates payer prior authorization requirements. Your staff can check whether prior authorization is required for a particular procedure or service with ease.
Automating 100% of prior authorization inquiries leads to faster reimbursement and decreased denials.